{!! admin_css('vendor/dcat-admin/dcat/plugins/bootstrap-datetimepicker/bootstrap-datetimepicker.min.css?v2.2.2-beta') !!}
{!! admin_css('vendor/dcat-admin/dcat/plugins/select/select2.min.css?v2.2.2-beta') !!}
{!! admin_css('vendor/dcat-admin/dcat/extra/upload.css?v2.2.2-beta') !!}

<div class="content-body fitness-form" id="app">
    <div class="row">
        <div class="col-md-12">
            <form method="post" enctype="multipart/form-data" accept-charset="UTF-8" action="{{ url('admin/add_user_fitness') }}" class="" id="form-fitness">
                <!-- hidden value -->
                {{ csrf_field() }}
                <input type="hidden" value="{{ $userId }}" name="user_id" />
                @if(!empty($form)) <input name="form_id" hidden value="{{ $form->id }}"> @endif

                <div class="card">
                    <!-- 头部 -->
                    <div class="box-header with-border mb-1" style="padding: .65rem 1rem">
                        <h3 class="box-title" style="line-height:30px;">体态评估表</h3>
                        <div class="pull-right">
                            <div class="btn-group pull-right" style="margin-right: 5px">
                                <a href="#" class="btn btn-sm btn-primary "><i class="feather icon-list"></i><span
                                        class="d-none d-sm-inline">&nbsp;列表</span></a>
                            </div>
                        </div>
                    </div>

                    <!-- body -->
                    <div class="box-body" style="margin-top: 6px">
                        <div class="fields-group">
                            <div class="row">
                                <!-- 表单逻辑代码 -->
                                <div class="col-md-6">
                                    <div class="form-group row form-field">
                                        <div class="col-md-2 text-capitalize control-label"><span>姓名</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                            <span class="input-group-prepend"><span class="input-group-text bg-white"><i
                                                        class="feather icon-edit-2"></i></span></span>
                                                <input type="text" name="name" value="{{ $user?->name }}"
                                                       required disabled
                                                       class="form-control field_name _normal_" placeholder="输入 姓名">
                                            </div>
                                        </div>
                                    </div>

                                    <div class="form-group row form-field">


                                        <div class="col-md-2 text-capitalize control-label"><span>性别</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                            <span class="input-group-prepend"><span class="input-group-text bg-white"><i
                                                        class="feather icon-user"></i></span></span>
                                                <select name="gender" class="form-control" disabled>
                                                    <option value="0" {{ $user && $user->gender == 0 ? 'selected' : '' }}>女</option>
                                                    <option value="1" {{ $user && $user->gender == 1 ? 'selected' : '' }}>男</option>
                                                </select>
                                            </div>
                                        </div>

                                    </div>

                                    <div class="form-group row form-field">
                                        <div class="col-md-2 text-capitalize control-label"><span>联系电话</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                            <span class="input-group-prepend"><span class="input-group-text bg-white"><i
                                                        class="feather icon-phone"></i></span></span>
                                                <input type="text" disabled name="phone" value="{{ $user?->phone }}"
                                                       class="form-control field_name _normal_" placeholder="输入 联系电话">
                                            </div>
                                        </div>

                                    </div>

                                    <div class="form-group row form-field">
                                        <div class="col-md-2 text-capitalize control-label"><span>生日</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                                <span class="input-group-prepend"><span
                                                        class="input-group-text bg-white"><i
                                                            class="fa fa-calendar fa-fw"></i></span></span>
                                                <input disabled style="width: 200px;flex:none" type="text" name="birthday"
                                                       value="{{ $user?->birthday }}" class="form-control field_birthday _normal_"
                                                       placeholder="输入 birthday">
                                            </div>
                                        </div>
                                    </div>

                                    <div class="form-group row form-field">
                                        <div class="col-md-2 text-capitalize control-label"><span>建档日期</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                                <span class="input-group-prepend"><span
                                                        class="input-group-text bg-white"><i
                                                            class="fa fa-calendar fa-fw"></i></span></span>
                                                <input style="width: 200px;flex:none" type="text" name="created_date"
                                                       value="{{ $today }}" class="form-control field_birthday _normal_"
                                                       placeholder="输入 建档日期">
                                            </div>
                                        </div>
                                    </div>

                                </div>
                                <!-- 左列结束 end -->

                                <!-- 右列 start -->
                                <div class="col-md-6">
                                    <div class="form-group row form-field">
                                        <div class="col-md-2 text-capitalize control-label"><span>身高</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                            <span class="input-group-prepend"><span class="input-group-text bg-white"><i
                                                        class="feather icon-edit-2"></i></span></span>
                                                <input type="text" name="height" value="{{ $form?->height }}"
                                                       class="form-control field_name _normal_"
                                                       placeholder="输入 身高，单位 cm">
                                            </div>
                                        </div>
                                    </div>

                                    <div class="form-group row form-field">
                                        <div class="col-md-2 text-capitalize control-label"><span>体重</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                            <span class="input-group-prepend"><span class="input-group-text bg-white"><i
                                                        class="feather icon-edit-2"></i></span></span>
                                                <input type="text" name="weight" value="{{ $form?->weight }}"
                                                       class="form-control field_name _normal_"
                                                       placeholder="输入 体重，单位 kg">
                                            </div>
                                        </div>
                                    </div>

                                    <div class="form-group row form-field">
                                        <div class="col-md-2 text-capitalize control-label"><span>左臂围</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                            <span class="input-group-prepend"><span class="input-group-text bg-white"><i
                                                        class="feather icon-edit-2"></i></span></span>
                                                <input type="text" name="arm_cir_left" value="{{ $form?->arm_cir_left }}"
                                                       class="form-control field_name _normal_" placeholder="输入 左臂围">
                                            </div>
                                        </div>
                                    </div>

                                    <div class="form-group row form-field">
                                        <div class="col-md-2 text-capitalize control-label"><span>右臂围</span></div>
                                        <div class="col-md-8 ">
                                            <div class="help-block with-errors"></div>
                                            <div class="input-group">
                                            <span class="input-group-prepend"><span class="input-group-text bg-white"><i
                                                        class="feather icon-edit-2"></i></span></span>
                                                <input type="text" name="arm_cir_right" value="{{ $form?->arm_cir_right }}"
                                                       class="form-control field_name _normal_" placeholder="输入 右臂围">
                                            </div>
                                        </div>
                                    </div>

                                </div>
                                <!-- 右列 end -->


                            </div>

                            <hr/>
                            <div class="row">
                                <div class="col-md-12">
                                    <h4 class="text-center">标准体态</h4>
                                    <hr/>
                                </div>
                                <div class="col-md-6">
                                    <h4 class="text-center">侧面观</h4>
                                    <hr/>

                                    <!-- 头部 start -->
                                    <h6>1. 头部</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_head_zlw"
                                                           class="field_side_head_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           @if(!empty($form->side_head_zlw)) checked @endif
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_head_qy"
                                                           class="field_side_head_qy _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           @if(!empty($form->side_head_qy)) checked @endif
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>前引</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_head_hy"
                                                           class="field_side_head_hy _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           @if(!empty($form->side_head_hy)) checked @endif
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>后仰</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 头部 end -->

                                    <!-- 颈椎 start -->
                                    <h6>2. 颈椎</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_cvb_zxz"
                                                           class="field_side_cvb_zxz _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           @if(!empty($form->side_cvb_zxz)) checked @endif
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中心轴</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_cvb_qq"
                                                           @if(!empty($form->side_cvb_qq)) checked @endif
                                                           class="field_side_cvb_qq _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>过于前曲</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_cvb_qz"
                                                           @if(!empty($form->side_cvb_qz)) checked @endif
                                                           class="field_side_cvb_qz _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>强直</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 颈椎 end -->

                                    <!-- 扁胛骨 start -->
                                    <h6>3. 扁胛骨</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_pat_zlw"
                                                           @if(!empty($form->side_pat_zlw)) checked @endif
                                                           class="field_side_pat_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_pat_nx"
                                                           @if(!empty($form->side_pat_nx)) checked @endif
                                                           class="field_side_pat_nx _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>内旋</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 扁胛骨 end -->

                                    <!-- 胸椎 start -->
                                    <h6>4. 胸椎</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_thv_zxz"
                                                           @if(!empty($form->side_thv_zxz)) checked @endif
                                                           class="field_side_thv_zxz _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中心轴</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_thv_ht"
                                                           @if(!empty($form->side_thv_ht)) checked @endif
                                                           class="field_side_thv_ht _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>过于后凸</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_thv_qz"
                                                           @if(!empty($form->side_thv_qz)) checked @endif
                                                           class="field_side_thv_qz _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>强直</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_thv_fgb"
                                                           @if(!empty($form->side_thv_fgb)) checked @endif
                                                           class="field_side_thv_fgb _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>富贵包</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 胸椎 end -->

                                    <!-- 腰椎 start -->
                                    <h6>5. 腰椎</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_luv_zxz"
                                                           @if(!empty($form->side_luv_zxz)) checked @endif
                                                           class="field_side_luv_zxz _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中心轴</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_luv_qq"
                                                           @if(!empty($form->side_luv_qq)) checked @endif
                                                           class="field_side_luv_qq _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>过于前曲</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_luv_qz"
                                                           @if(!empty($form->side_luv_qz)) checked @endif
                                                           class="field_side_luv_qz _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>强直</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 腰椎 end -->

                                    <!-- 骨盆 start -->
                                    <h6>6. 骨盆</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_ntp_zlw"
                                                           @if(!empty($form->side_ntp_zlw)) checked @endif
                                                           class="field_side_ntp_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_ntp_qq"
                                                           @if(!empty($form->side_ntp_qq)) checked @endif
                                                           class="field_side_ntp_qq _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>前倾</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_ntp_hq"
                                                           @if(!empty($form->side_ntp_hq)) checked @endif
                                                           class="field_side_ntp_qz _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>后倾</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 骨盆 end -->

                                    <!-- 脓关节 start -->
                                    <h6>7. 脓关节</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_sar_zlw"
                                                           @if(!empty($form->side_sar_zlw)) checked @endif
                                                           class="field_side_sar_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="side_sar_cs"
                                                           @if(!empty($form->side_sar_cs)) checked @endif
                                                           class="field_side_ntp_cs _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>超伸</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 脓关节 end -->

                                </div>
                                <!-- 侧面观 end -->

                                <!-- 背面观 start -->
                                <div class="col-md-6">
                                    <h4 class="text-center">背面观</h4>
                                    <hr/>

                                    <!-- 颈部 start -->
                                    <h6>1. 颈部</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_nec_zlw"
                                                           @if(!empty($form->back_nec_zlw)) checked @endif
                                                           class="field_side_head_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_nec_qq"
                                                           @if(!empty($form->back_nec_qq)) checked @endif
                                                           class="field_side_head_qy _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>前倾</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_nec_xz"
                                                           @if(!empty($form->back_nec_xz)) checked @endif
                                                           class="field_side_head_hy _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>旋转</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 头部 end -->

                                    <!-- 肩部 start -->
                                    <h6>2. 肩部</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_sho_zlw"
                                                           @if(!empty($form->back_sho_zlw)) checked @endif
                                                           class="field_side_sho_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_sho_yg"
                                                           @if(!empty($form->back_sho_yg)) checked @endif
                                                           class="field_side_sho_yg _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>右高</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_sho_zg"
                                                           @if(!empty($form->back_sho_zg)) checked @endif
                                                           class="field_side_sho_zg _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>左高</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 肩部 end -->

                                    <!-- 扁胛骨 start -->
                                    <h6>3. 扁胛骨</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_pat_zlw"
                                                           @if(!empty($form->back_pat_zlw)) checked @endif
                                                           class="field_back_pat_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_pat_qq"
                                                           @if(!empty($form->back_pat_qq)) checked @endif
                                                           class="field_back_pat_qq _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>前引（圆扁）</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_pat_hsk"
                                                           @if(!empty($form->back_pat_hsk)) checked @endif
                                                           class="field_back_pat_hsk _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>后缩口</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 扁胛骨 end -->

                                    <!-- 胸腰椎 start -->
                                    <h6>4. 胸腰椎</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_tlv_zlw"
                                                           @if(!empty($form->back_tlv_zlw)) checked @endif
                                                           class="field_back_tlv_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_tlv_s"
                                                           @if(!empty($form->back_tlv_s)) checked @endif
                                                           class="field_back_tlv_s _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>S形</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_tlv_c"
                                                           @if(!empty($form->back_tlv_c)) checked @endif
                                                           class="field_back_tlv_c _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>C形</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 胸腰椎 end -->

                                    <!-- 骨盆 start -->
                                    <h6>5. 骨盆</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_pel_zlw"
                                                           @if(!empty($form->back_pel_zlw)) checked @endif
                                                           class="field_back_pel_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_pel_ycq"
                                                           @if(!empty($form->back_pel_ycq)) checked @endif
                                                           class="field_back_pel_ycq _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>右侧倾</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_pel_zcq"
                                                           @if(!empty($form->back_pel_zcq)) checked @endif
                                                           class="field_back_pel_zcq _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>左侧倾</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 骨盆 end -->

                                    <!-- 膝关节 start -->
                                    <h6>6. 膝关节</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_knj_zlw"
                                                           @if(!empty($form->back_knj_zlw)) checked @endif
                                                           class="field_back_knj_zlw _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>中立位</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_knj_xwfm"
                                                           @if(!empty($form->back_knj_xwfm)) checked @endif
                                                           class="field_back_knj_xwfm _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>膝外翻面</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_knj_xnf"
                                                           @if(!empty($form->back_knj_xnf)) checked @endif
                                                           class="field_back_knj_xnf _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>膝内翻</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 膝关节 end -->

                                    <!-- 足部 start -->
                                    <h6>7. 足部</h6>
                                    <div class="form-group row form-field">
                                        <div class="col-md-12">
                                            <div class="input-group">

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_fot_yzg"
                                                           @if(!empty($form->back_fot_yzg)) checked @endif
                                                           class="field_back_fot_yzg _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>有足弓</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_fot_bpz"
                                                           @if(!empty($form->back_fot_bpz)) checked @endif
                                                           class="field_back_fot_bpz _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>扁平足</span>
                                                </div>

                                                <div class="vs-checkbox-con vs-checkbox-primary"
                                                     style="margin-right: 16px">
                                                    <input value="1" name="back_fot_gzg"
                                                           @if(!empty($form->back_fot_gzg)) checked @endif
                                                           class="field_back_fot_gzg _normal_ Dcat_Admin_Widgets_Checkbox"
                                                           type="checkbox"><span class="vs-checkbox vs-checkbox-">
                                                    <span class="vs-checkbox--check"><i
                                                            class="vs-icon feather icon-check"></i></span></span>
                                                    <span>高足弓</span>
                                                </div>

                                            </div>
                                        </div>
                                    </div>
                                    <!-- 足部 end -->

                                </div>
                                <!-- 背面观 end -->

                            </div>

                            <hr/>

                            <div class="row">
                                <div class="col-md-6">

                                    <div class="form-group row form-field">
                                        <div class="col-md-6">
                                            <div style="height: 300px; text-align: center;">
                                                <img style="height: 100%;"
                                                     src="{{ asset('vendor/dcat-admin/images/side.png') }}"/>
                                            </div>
                                        </div>
                                        <div class="col-md-6">

                                            <div class="form-group row form-field">
                                                <div class="col-md-12 text-left control-label"><span>备注</span></div>
                                                <div class="col-md-12 ">
                                                    <div class="help-block with-errors"></div>
                                                    <div class="input-group">
                                                        <textarea type="text" rows="4" name="side_comment"
                                                                  class="form-control field_name _normal_" placeholder="输入 备注">@if(!empty($form)) {{$form->side_comment}} @endif</textarea>
                                                    </div>
                                                </div>
                                                <hr/>
                                                <div class="col-md-12 text-left control-label"><span>总结</span></div>
                                                <div class="col-md-12 ">
                                                    <div class="help-block with-errors"></div>
                                                    <div class="input-group">
                                                        <textarea type="text" rows="4" name="side_summary"
                                                                  class="form-control field_name _normal_" placeholder="输入 总结">@if(!empty($form)) {{$form->side_summary}} @endif</textarea>
                                                    </div>
                                                </div>
                                            </div>

                                        </div>
                                    </div>

                                </div>
                                <!-- 左边 end -->

                                <div class="col-md-6">

                                    <div class="form-group row form-field">
                                        <div class="col-md-6">
                                            <div style="height: 300px; text-align: center;">
                                                <img style="height: 100%;"
                                                     src="{{ asset('vendor/dcat-admin/images/back.png') }}"/>
                                            </div>
                                        </div>
                                        <div class="col-md-6">

                                            <div class="form-group row form-field">
                                                <div class="col-md-12 text-left control-label"><span>备注</span></div>
                                                <div class="col-md-12 ">
                                                    <div class="help-block with-errors"></div>
                                                    <div class="input-group">
                                                        <textarea type="text" rows="4" name="back_comment"
                                                                  class="form-control field_name _normal_" placeholder="输入 备注">@if(!empty($form)) {{$form->back_comment}} @endif</textarea>
                                                    </div>
                                                </div>
                                                <hr/>
                                                <div class="col-md-12 text-left control-label"><span>总结</span></div>
                                                <div class="col-md-12 ">
                                                    <div class="help-block with-errors"></div>
                                                    <div class="input-group">
                                                        <textarea type="text" rows="4" name="back_summary"
                                                                  class="form-control field_name _normal_" placeholder="输入 总结">@if(!empty($form)) {{$form->back_summary}} @endif</textarea>
                                                    </div>
                                                </div>
                                            </div>

                                        </div>
                                    </div>

                                </div>
                                <!-- 右边 end -->


                            </div>

                        </div>

                        <!-- Footer -->
                        <div class="box-footer">
                            <div class="col-md-12">
                                <div class="btn-group pull-right">
                                    <button class="btn btn-primary submit"><i class="feather icon-save"></i> 提交</button>
                                </div>
                                <div class="btn-group pull-left">
                                    <button type="reset" class="btn btn-white"><i class="feather icon-rotate-ccw"></i>
                                        重置
                                    </button>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>

<script>
    Dcat.init('#form-fitness .field_birthday._normal_', function (self) {
        self.datetimepicker({"format": "YYYY-MM-DD", "locale": "zh_CN", "allowInputToggle": true});
    });
</script>


{!! admin_js('vendor/dcat-admin/dcat/plugins/layer/layer.js?v2.2.2-beta') !!}
{!! admin_js('vendor/dcat-admin/dcat/plugins/jquery.initialize/jquery.initialize.min.js?v2.2.2-beta') !!}
{!! admin_js('vendor/dcat-admin/dcat/plugins/moment/moment-with-locales.min.js?v2.2.2-beta') !!}
{!! admin_js('vendor/dcat-admin/dcat/plugins/bootstrap-datetimepicker/bootstrap-datetimepicker.min.js?v2.2.2-beta') !!}
{!! admin_js('vendor/dcat-admin/dcat/plugins/select/select2.full.min.js?v2.2.2-beta') !!}


